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<!DOCTYPE HTML PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
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    <meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
    <title>Untitled Document</title>
    <link rel="stylesheet" type="text/css" href="~/Content/BaiTap18/css/bootstrap.css" />
    <link rel="stylesheet" type="text/css" href="/Content/BaiTap18/css/style.css" />
</head>

<body>
    <div class="container">
        <div id="probuytem" style="width:60%; margin:20px;">
            <div class="probuytem">
                <table cellpadding="0" cellspacing="0" width="100%">
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                            <td align="center"></td>
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                            <th style="height: 40px; vertical-align: middle;text-align: center;">
                                <h2 class="title_probuy">ĐĂNG KÝ BÁN XE</h2>
                                ( Mẫu:02/BX/ANC )
                            </th>
                        </tr>
                    </tbody>
                </table>
                <table cellpadding="3" cellspacing="0" width="100%">
                    <tbody>
                        <tr>
                            <td colspan="2" align="right">
                                <div class="dkbx_request"> ( Quí khách vui lòng nhập đầy đủ các thông tin dưới đây ) </div>
                            </td>
                        </tr>
                        <tr>
                            <td colspan="2" align="right">
                                Ngày tháng: <input type="text" name="text_date_check" value="15/07/2015" class="pro_text" />
                            </td>
                        </tr>
                        <tr>
                            <th colspan="2" class="pro_tdcat" align="left">Thông tin khách hàng</th>
                        </tr>
                        <tr>
                            <td colspan="2">
                                <table cellpadding="2" cellspacing="3" width="100%">
                                    <tbody>
                                        <tr>
                                            <td colspan="1">
                                                <div class="probuyitem_content">
                                                    Tên tôi là:
                                                    <input type="text" style="width:220px" name="full_name" value="" class="pro_text" />
                                                </div>
                                            </td>
                                            <td colspan="1">
                                                <div class="probuyitem_content">
                                                    Điện thoại:
                                                    <input type="text" style="width:220px" name="dien_thoai" value="" class="pro_text" />
                                                </div>
                                            </td>
                                        </tr>
                                        <tr>
                                            <td colspan="1">
                                                <div class="probuyitem_content">
                                                    Số CMND:
                                                    <input type="text" style="width:216px" name="so_cmnd" value="" class="pro_text" />
                                                </div>
                                            </td>
                                            <td colspan="1">
                                                <div class="probuyitem_content">
                                                    Email:
                                                    <input type="text" style="width:245px" name="email" value="" class="pro_text" />
                                                </div>
                                            </td>
                                        </tr>
                                        <tr>
                                            <td colspan="2">
                                                <div class="probuyitem_content">
                                                    Địa chỉ:
                                                    <input type="text" style="width:530px" name="address" value="" class="pro_text" />
                                                </div>
                                            </td>
                                        </tr>
                                    </tbody>
                                </table>
                            </td>
                        </tr>
                        <tr>
                            <th colspan="2" class="pro_tdcat" align="left">Thông tin về xe đăng bán</th>
                        </tr>
                        <tr>
                            <td colspan="2">
                                <table cellpadding="2" cellspacing="3" width="100%">
                                    <tbody>
                                        <tr>
                                            <td colspan="2">
                                                <div class="probuyitem_content">
                                                    Số lượng:
                                                    <input type="text" name="so_luong" style="width:519px" value="" class="pro_text" />
                                                </div>
                                            </td>
                                        </tr>
                                        <tr>
                                            <td width="45%">
                                                <div class="probuyitem_content">
                                                    Nhãn hiệu:
                                                    <input type="text" name="nhan_hieu" value="" class="pro_text" />
                                                </div>
                                            </td>
                                            <td width="45%">
                                                <div class="probuyitem_content">
                                                    Tên đăng ký:
                                                    <input type="text" name="ten_dang_ky" style="width:208px" value="" class="pro_text" />
                                                </div>
                                            </td>
                                        </tr>
                                        <tr>
                                            <td width="45%">
                                                <div class="probuyitem_content">
                                                    Màu sơn:
                                                    <input type="text" name="mau_sơn" style="width:220px" value="" class="pro_text" />
                                                </div>
                                            </td>
                                            <td width="45%">
                                                <div class="probuyitem_content">
                                                    Biểm kiểm soát:
                                                    <input type="text" name="biem_kiem_soat" style="width:188px" value="" class="pro_text" />
                                                </div>
                                            </td>
                                        </tr>
                                        <tr>
                                            <td width="45%">
                                                <div class="probuyitem_content">
                                                    Số Khung:
                                                    <input type="text" name="so_khung" style="width:214px" value="" class="pro_text" />
                                                </div>
                                            </td>
                                            <td width="45%">
                                                <div class="probuyitem_content">
                                                    Số máy:
                                                    <input type="text" name="so_may" style="width:233px" value="" class="pro_text" />
                                                </div>
                                            </td>
                                        </tr>
                                        <tr>
                                            <td width="45%">
                                                <div class="probuyitem_content">
                                                    Năm sản xuất:
                                                    <input type="text" name="nam_sx" style="width:191px" value="" class="pro_text" />
                                                </div>
                                            </td>
                                            <td width="45%">
                                                <div class="probuyitem_content">
                                                    Chất lượng:
                                                    <input type="text" name="chat_luong" style="width:211px" value="" class="pro_text" />
                                                </div>
                                            </td>
                                        </tr>
                                        <tr>
                                            <td colspan="2">
                                                <div class="probuyitem_content">
                                                    Giá dự kiến bán:
                                                    <input type="text" name="gia_du_kien_ban" style="width:485px" value="" class="pro_text" />
                                                </div>
                                            </td>
                                        </tr>
                                    </tbody>
                                </table>
                            </td>
                        </tr>
                        <tr>
                            <td colspan="2" align="right" class="camket">
                                <input type="checkbox" name="text_cam_ket" />
                                Tôi cam đoan thông tin trên là chính xác.
                            </td>
                        </tr>
                        <tr>
                            <td colspan="2">&nbsp;</td>
                        </tr>
                        <tr>
                            <td colspan="2" align="center">
                                <input class="bt_accept" type="submit" name="sbtupdate_checked" value="" />
                                <input class="bt_reset" type="reset" value="" />
                            </td>
                        </tr>
                    </tbody>
                </table>
            </div>
        </div>
    </div>
</body>
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